Impact of perioperative holistic rehabilitation nursing based on Omaha theory on patients taking cardiovascular intervention
Objective To explore the impact of perioperative holistic rehabilitation nursing based on the Omaha theory on patients undergoing cardiovascular intervention via the distal radial artery approach.Methods Seventy patients who underwent cardiovascular intervention via the distal radial artery at Lianyungang City Traditional Chinese Medicine Hospital from March 2020 to March 2023 were selected,and were divided into a control group and an observation group according to the nursing methods,with 35 cases in each group.There were 19 males and 16 females in the control group;they were(62.92±2.58)years old.There were 20 males and 15 females in the observation group;they were(63.18±2.18)years old.The control group received routine nursing intervention,while the observation group received perioperative holistic rehabilitation nursing based on the Omaha theory.The puncture conditions(first-time puncture success,puncture time,radial artery spasm,local hematoma,and radial artery occlusion),puncture success rates(stent implantation,drug balloon dilation,and success rate),and negative emotions[assessed using the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)].x2 and t tests were applied.Results The first-time puncture success rate in the observation group was higher than in that in the control group[97.1％(34/35)vs.60.0％(21/35)].There were statistical differences in the puncture time,radial artery spasm,local hematoma,and radial artery occlusion between the observation group and the control group[(4.17±0.17)min vs.(5.86±0.63)min,5.7％(2/35)vs.34.3％(12/35),2.9％(1/35)vs.25.7％(9/35),and 2.9％(1/35)vs.31.4％(11/35);all P＜0.05].Fewer patients took stent implantation and drug balloon dilation in the observation group than in the control group[2.9％(1/35)vs.25.7％(9/35)and 5.7％(2/35)vs.34.3％(12/35)],with statistical differences(both P＜0.05).The puncture success rate in the observation group was higher than that in the control group[97.1％(34/35)vs.62.9％(22/35)],with a statistical difference(P＜0.05).After 3 days of nursing,the scores of SAS and SDS in the observation group were lower than those in the control group[(40.48±4.84)vs.(48.12±4.18)and(43.67±4.91)vs.(49.34±5.27)],with statistical differences(both P＜0.001).Conclusion Perioperative holistic rehabilitation nursing based on the Omaha theory can increase the puncture success rate and reduce negative emotions in patients undergoing cardiovascular intervention via the distal radial artery approach.
万方数据
维普
